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UNITED SPORTSMEN, INCORPORATED RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND DEFENSE AND INDEMNITY AGREEMENT

 

RIFLE / PISTOL SAFETY WAIVER AND RANGE RULES SAFETY QUIZ

TODAY'S DATE: October 22, 2024

Please read this document carefully. By signing it, you are giving up certain legal rights and the rights of your minor child/children and/or ward(s).


RELEASEES: United Sportsmen, Inc., Bay Point Rod and Gun Club, Inc., Brentwood Rod and Gun Club, Concord Sportsmens Club, Inc., Diablo Rod & Gun Club, Inc., and Walnut Creek Sportsmens Club, Inc., their officers, directors, members, agents, employees, volunteers, independent instructors and their respective companies.

RELEASORS: You, the person who signs this Agreement, individually, and on behalf of your minor children, ward(s), personal representatives, executors, heirs, next of kin, all of whom are bound hereby.

ACTIVITIES: All activities occurring on the property of RELEASEES or sponsored by RELEASEES, whether on the property of RELEASEES, or elsewhere, including, but not limited to club access, shooting, use of ammunition, archery, throwing of knives and edge weapons, spectating, participating in tournaments, fund raising activities, meetings or club events. United Sportsmen is not liable for any damage to personal property including but not limited to vehicles at the facility or firearms / equipment used on the site.    


In consideration of being permitted to participate in the ACTIVITIES, RELEASORS expressly and voluntarily release, waive and forever discharge RELEASEES and agree to hold RELEASEES harmless from all acts, actions, inactions, omissions, causes of action, lawsuits, debts, controversies, damages, judgments, claims, and/or demands, whatsoever in law and/or in equity, including, but not limited to, any and all claims and lawsuits which allege any causes of action, including negligent acts and/or omissions committed by RELEASEES, or any of them, whether the action, acts, and/or omissions arise out of any damage, loss, personal injury, and/or death to RELEASORS while participating in, observing or as a result of participating in or observing any of the ACTIVITIES. RELEASORS acknowledge the inherent risks and hazards connected with the ACTIVITIES, including the risk of serious injury, death and/or property damage. RELEASORS assume the risk of such participation/observation and assume full responsibility for any damages RELEASORS might suffer.




RELEASORS agree to defend in any litigation, and indemnify and hold RELEASEES harmless from and against any and all losses, liabilities, claims, obligations, judgments, costs, experts fees, attorneys fees, damages and/or expenses paid, incurred and/or suffered by RELEASEES as a result of the ACTIVITIES in which RELEASORS participate, including, but not limited to damages suffered by others and caused by RELEASORS.

If a court of competent jurisdiction determines that any portions of this Agreement are void or voidable, RELEASORS agree that such portion(s) shall be stricken and the Agreement reformed to approximate as closely as the law permits, the intent of the stricken portion(s). The remaining portions of this Agreement shall continue in full force and effect.

RELEASORS represent (1) that they have full power and authority to enter into this Agreement, (2) that this Agreement has been duly executed and delivered, and is valid and legally binding in accordance with its terms, and (3) they are not prohibited by federal, state and/or local law from possessing firearms. RELEASORS acknowledge that this Agreement extends forever into the future and will apply each and every time RELEASORS engage in the ACTIVITIES. RELEASORS acknowledge that they have been offered a copy of this Agreement.

In any action to enforce the terms of this Agreement, the prevailing party shall be entitled to an award of its/his/her costs, attorneys fees, litigation expenses, and experts fees. The exclusive jurisdiction and venue for any action to enforce the terms of this Agreement shall be the Superior Court of the State of California, in and for the County of Contra Costa.

I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND DEFENSE AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY. I HAVE HAD A REASONABLE AND SUFFICIENT OPPORTUNITY TO READ AND UNDERSTAND THIS ENTIRE DOCUMENT, AND CONSULT WITH LEGAL COUNSEL. I KNOWINGLY AND VOLUNTARILY AGREE TO BE BOUND BY ALL TERMS AND CONDITIONS SET FORTH HEREIN.


If completing and executing this release and waiver of liability, assumption of risk, and defense and indemnity agreement on behalf of yourself as a participant and you are an adult [i.e., you are currently eighteen (18) years of age or older], please check Adult below and complete the questions which follow. If completing and executing this release and waiver of liability, assumption of risk, and defense and indemnity agreement on behalf of a minor child and/or ward [i.e., a person under the age of eighteen (18) and/or a person under the care and control of a guardian appointed by their parents or a court], please check Minor below and complete the questions which follow. One (1) form must be completed for each person/participant.

 

 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email
Check to receive Coupons, Information, News, Events and Discounts by e-mail.
Email me a copy of this document.
Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
Range Rules Safety Quiz


Before taking this test be sure you have watched the firearm safety video located on the United Sportsmen website.

www.unitedsportsmen.com/waiver

Which of the following is not one of the three fundamental gun safety rules:*
Always keep your finger off the trigger until ready to fire.
Always keep the gun unloaded until ready to use.
Always clean you firearm after use.
Always keep the gun pointed in a safe direction.
Firearms should be unloaded and cased until such time as you are on the firing line preparing to shoot.*
True
False
When a "CEASE FIRE" command is given from the Range Safety Officer, other Staff or another range User, you should do which of the following:*
Keep the muzzle of the firearm pointed down range.
Take your finger off the trigger and wait for further instruction.
Immediately stop shooting.
All the above.
When shooting, you should:*
Wear hearing protection.
Know your target and what is beyond it.
Wear eye protection.
All of the above.
Targets should be placed properly in their holders so that all shots continue through the target and impact in the berm.*
True
False
Which of the following ammunition is not allowed to be used on the Range?*
Reloaded ammunition
Factory ammunition
Incendiary and tracer style.
If you observe others downrange, across the firing line, you should immediately:*
Continue shooting.
Call "CEASE FIRE", stop shooting, take your finger off the trigger, and wait for further instructions.
Do not place your finger on the firearm's_____________ until ready to shoot.*
Barrel
Trigger
Safety
Sight
Can I cross the yellow line and get anything from the shooting bench during a cease fire?*
No
Yes
I have watched the Introduction to Range Safety video:*
No
Yes
The range rules and standard operating procedures (SOP), including specific restrictions for high recoil firearms and damage to the facility, are posted at the range for review.*
I agree to abide by the posted rules and SOP.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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